Individual
DR. DANIEL VINCENT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(917) 572-1010
Mailing address
2432 BROADWAY ST APT A, NEW ORLEANS, LA 70125-4259
(917) 572-1010
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A165797
CA
Other
Enumeration date
03/20/2018
Last updated
12/14/2019
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